MONTHLY PARKING REGISTRATION FORM
175 West 12th Street Parking Corp.
175-179 West 12th St, NY, NY 10011
Base Rate:
Suv:
Tax:
Total:
Start Date:
Vehicle Type
Regular
SUV
Are you a resident of this building?
Yes
No
How do you intend on parking?
HT - HOUSE TENANT
DN - 24 HOURLY
D - DAY ONLY
Company account only-contract within company (Optional)
State
New York
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Outside of US
Vin Number (Optional)
How Did You Hear About Us? (optional)
Website/Internet
Friend
Advertisment
Other
Sign
Vehicle Information
Make
Acura
Aston Martin
Audi
Bentley
BMW
Buick
Cadillac
Chevrolet
Chrysler
Dodge
Ferrari
Ford
GMC
Honda
Hummer
Hyundai
Infiniti
Isuzu
Jaguar
Jeep
Kia
Lamborghini
Land Rover
Lexus
Lincoln
Lotus
Maserati
Maybach
Mazda
Mercedes-Benz
Mercury
Mini
Mitsubishi
Nissan
Pontiac
Porsche
Rolls-Royce
Saab
Saturn
Subaru
Suzuki
Tesla
Toyota
Volkswagen
Volvo
Rental
Other
Genesis
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
Color
White
Black
Red
Green
Blue
Grey/Silver
Other
State
New York
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Outside of US
Payment Information
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
Apply
Subtotal:
Transaction Fee:
Discount:
Total:
NOTE: RevoPay, our electronic payment provider, must charge this fee to cover monthly and transaction fees charged by the merchant acquiring bank as well as transaction fees charged by payment processors.
I agree with
Terms & Conditions
